Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $18.27 / $18.27	Professional		$18.27	$18.27	$18.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $20.10 / $43.16	Facility		$18.27	$20.10	$43.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $23.28 / $23.28	Professional		$16.29	$23.28	$23.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.79 / $67.18 / $3,495.87	Facility		$58.79	$67.18	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $46.19 / $50.39	Professional		$35.69	$46.19	$50.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $25.58 / $83.98	Facility		$18.27	$25.58	$83.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $46.19 / $62.99	Professional		$13.47	$46.19	$62.99
United Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $12.41 / $59.31	Professional		$11.82	$12.41	$59.31